Organization
ASSOCIATED DERMATOLOGISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOE MICHAEL HAZEL M.D. (DOCTOR/PRESIDENT)
(937) 399-5911
Entity
Organization
Contact information
Practice address
1671 N LIMESTONE ST, SPRINGFIELD, OH 45503-2646
(937) 399-5911
Mailing address
1671 N LIMESTONE ST, SPRINGFIELD, OH 45503-2646
(937) 399-5911
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
35030442
OH
Other
Enumeration date
11/13/2007
Last updated
11/14/2007
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